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Organization
LEXINGTON IMPLANT AND RESTORATIVE DENTISTRY
Active
Organization
LEXINGTON IMPLANT AND RESTORATIVE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA NOEL MANICKAS DMD (OWNER/DENTIST)
(781) 862-8223
Entity
Organization
Contact information
Practice address
803 MASSACHUSETTS AVE, LEXINGTON, MA 02420-3918
(781) 862-8223
(781) 538-4443
Mailing address
803 MASSACHUSETTS AVE, LEXINGTON, MA 02420-3918
(781) 862-8223
(781) 538-4443
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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